Tpa - Team Lead

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

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TPA - Team Lead

PRIMARY PURPOSE: To oversee and lead the workflow of claims professionals to ensure regulatory compliance and to communicate and maintain strong relationships with Third Party Administrators.

ESSENTIAL FUNCTIONS And RESPONSIBILITIES

• Monitors management reports relating to the area/office performance.
• Analyzes and performs audits to existing claims for liabilities and adherence to company standards.
• Oversees the work of assigned colleagues, including project assignment and workflow.
• Resolves and adjusts errors and complaints.
• Designs and coordinates management and oversight of third party administrator claims.
• Establishes policy and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service requirements.
• Manages and approves insurance and matured endowment claims.

ADDITIONAL FUNCTIONS And RESPONSIBILITIES

• Supports the organization's quality program(s).
• Performs other duties as assigned.

Supervisory Responsibilities

• Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
• Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
• Provides support, guidance, leadership and motivation to promote maximum performance.

Qualifications

Education & Licensing

Bachelor's degree from an accredited college or university preferred.

Experience

Ten (10) years of related experience and/or training or equivalent combination of education and experience required.

Skills & Knowledge

• Good interpersonal skills
• Ability to meet or exceed Performance Competencies
• Ability to handle multiple projects and set priorities
• Excellent oral and written communication, including presentation skills
• Good customer service skills
• Analytical and interpretive skills
• PC literate, including Microsoft Office products
• Ability to work in a team environment
• Good organizational skills, accuracy, and attention to detail

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

We are committed to inclusive, barrier-free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation.

Sedgwick is an Equal Opportunity Employer.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Sedgwick retains the discretion to add or to change the duties of the position at any time.